healthcosts.net
Revise spine eltrd perq aray at mercy hospital
1320 Mercy Drive Northwest, Canton, OH · Cleveland Clinic · · NPI 1366433195
$2,216.50
Cash price Discounted cash price What a hospital charges a self-pay patient who pays directly, without going through insurance — usually well below the gross charge. Example: A CT scan has a $3,200 gross charge but an $850 discounted cash price. Ask for it by name when scheduling — hospitals don't always advertise it up front.
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What you pay up front if you don't use insurance.
$3,410.00
Gross charge Gross charge (chargemaster price) The hospital's full, undiscounted list price — pulled from its internal "chargemaster" price list. Almost no one actually pays this. Example: A chest X-ray has a gross charge of $1,450. The same hospital's discounted cash price for the same X-ray is $180 — the gross charge mostly anchors negotiations, not what patients pay.
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The hospital's undiscounted list price — almost no one pays this.
$1.10 with Zing Health vs $4,036,081.00 with The Health Plan — same scan, same building. Share
Negotiated rates by payer
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Negotiated rate
The price a specific insurance plan agreed to pay the hospital for a service — it varies by insurer, and even by plan within the same insurer.
Example: The same knee MRI has a negotiated rate of $904 with one insurer's PPO plan and $1,509 with another's — identical hospital, identical scan.
Full explanation →
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Negotiated rate
The price a specific insurance plan agreed to pay the hospital for a service — it varies by insurer, and even by plan within the same insurer.
Example: The same knee MRI has a negotiated rate of $904 with one insurer's PPO plan and $1,509 with another's — identical hospital, identical scan.
Full explanation →Payer ?Payer The insurance company footing the bill — Aetna, UnitedHealthcare, Medicare, and so on. Example: "Blue Cross Blue Shield" is the payer. Its negotiated rate for an MRI might be $904, while a different payer's negotiated rate for the same scan is $1,509. Full explanation → |
Plan ?Plan The specific product an insurer sells — e.g. "Blue Cross PPO 500" — which sets your deductible, coinsurance and negotiated rates. Example: Two people both insured by Aetna can owe very different amounts for the same MRI: $50 with an HMO plan's flat copay, or the full $1,200 toward a high-deductible PPO plan's unmet deductible. Full explanation → |
Negotiated rate | vs. cash |
|---|---|---|---|
| Zing Health | Medicare Advantage | $1.10 | ↓ -100% |
| United | Managed Medicaid | $229.44 | ↓ -90% |
| Caresource | Managed Medicaid | $236.32 | ↓ -89% |
| Buckeye | Managed Medicaid | $240.91 | ↓ -89% |
| Molina | Managed Medicaid | $252.38 | ↓ -89% |
| AmeriHealth | Managed Medicaid | $252.38 | ↓ -89% |
| Summacare | Preferred | $277.49 | ↓ -87% |
| Summacare | Medicare Advantage Lower Level | $277.49 | ↓ -87% |
| Summacare | Medicare Advantage Psych | $300.95 | ↓ -86% |
| Summacare | Medicare Advantage CNA | $362.87 | ↓ -84% |
| The Health Plan | Medicare Advantage | $401.26 | ↓ -82% |
| Anthem | Medicare Advantage | $401.26 | ↓ -82% |
| Aetna | Medicare Advantage | $401.26 | ↓ -82% |
| United | Medicare Advantage | $401.26 | ↓ -82% |
| Cigna | Medicare Advantage | $401.26 | ↓ -82% |
| Humana | Medicare Advantage HMO | $401.26 | ↓ -82% |
| Summacare | Medicare Advantage MD | $405.56 | ↓ -82% |
| MMO | Medicare HMO & PPO | $413.30 | ↓ -81% |
| Summacare | Premier | $421.32 | ↓ -81% |
| CommuniCare | Medicare Advantage | $421.32 | ↓ -81% |
| The Health Plan | PPO | $429.35 | ↓ -81% |
| Perennial Health | Medicare Advantage | $433.36 | ↓ -80% |
| The Health Plan | All Products PCP | $441.39 | ↓ -80% |
| The Health Plan | All Products Specialty Physicians | $461.45 | ↓ -79% |
| The Health Plan | All Products Radiation Oncology Physicians | $521.64 | ↓ -76% |
| Oscar | All Products | $866.48 | ↓ -61% |
| Cigna | All Products Mid-Level | $1,099.54 | ↓ -50% |
| Aetna | Acop | $1,121.22 | ↓ -49% |
| Anthem | All Products Mid-Level Non-Facility | $1,175.96 | ↓ -47% |
| Aultcare | PPO/HMO | $1,220.78 | ↓ -45% |
| Cigna | All Products Physician | $1,299.21 | ↓ -41% |
| OHCP | All Products | $1,326.49 | ↓ -40% |
| OMAS | All Products | $1,705.00 | ↓ -23% |
| United | All Products - Mid-Level | $1,952.84 | ↓ -12% |
| PHPHI | All Products | $2,046.00 | ↓ -8% |
| United | All Products | $2,169.82 | ↓ -2% |
| United | HMO & PPO | $2,169.82 | ↓ -2% |
| MMO | Traditional | $2,387.00 | ↑ +8% |
| GMS | All Products | $2,387.00 | ↑ +8% |
| Immergrun | All Products | $2,557.50 | ↑ +15% |
| Aetna | All Products First Health | $2,557.50 | ↑ +15% |
| Aetna | Asa | $2,728.00 | ↑ +23% |
| Multiplan | All Products | $3,069.00 | ↑ +38% |
| Aetna | Qhp/Ifp | $3,410.00 | ↑ +54% |
| The Health Plan | MEDICARE ADVANTAGE | $5,457.59 | ↑ +146% |
| ANTHEM | MEDICARE ADVANTAGE | $6,029.34 | ↑ +172% |
| Summacare | MEDICARE ADVANTAGE | $6,029.34 | ↑ +172% |
| AETNA | MEDICARE ADVANTAGE | $6,029.34 | ↑ +172% |
| HUMANA | Medicare Advantage HMO | $6,063.99 | ↑ +174% |
| UNITED | MEDICARE ADVANTAGE | $6,063.99 | ↑ +174% |
| CIGNA | MEDICARE ADVANTAGE | $6,210.22 | ↑ +180% |
| CommuniCare | MEDICARE ADVANTAGE | $6,330.81 | ↑ +186% |
| Perennial Health | HMO I-SNP and HMO C-SNP | $6,511.69 | ↑ +194% |
| Perennial Health | MEDICARE ADVANTAGE | $6,549.11 | ↑ +195% |
| MMO | ALL PRODUCTS | $10,349.81 | ↑ +367% |
| MMO | SuperMed | $11,676.67 | ↑ +427% |
| The Health Plan | HMO | $1,276,448.04 | ↑ +57488% |
| The Health Plan | POS | $4,036,081.00 | ↑ +181993% |
| Aetna | ALL PRODUCTS | not published by hospital | — |
Visitor-reported prices
Comments
Revise spine eltrd perq aray at other Ohio hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| cleveland clinic main campus | Cleveland | $15,485.60 | $1.10 – $21,441.60 |
| akron general | Akron | $2,216.50 | $1.10 – $6,511.69 |
| avon hospital | Avon | not published | $6,029.34 – $6,632.28 |
| euclid hospital | Euclid | not published | $5,933.33 – $6,632.28 |
| fairview hospital | Cleveland | not published | $5,933.33 – $6,632.28 |
| lutheran hospital | Cleveland | not published | $6,029.34 – $6,632.28 |
| hillcrest hospital | Mayfield Heights | not published | $5,933.33 – $6,632.28 |
| lodi hospital | Lodi | not published | $6,511.03 – $6,562.90 |